Parklands Surgery in 4 Parklands Road, Chichester is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 14th March 2017
Parklands Surgery is managed by Parklands Surgery.
Contact Details:
Address:
Parklands Surgery The Parklands Surgery 4 Parklands Road Chichester PO19 3DT United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Parklands Surgery on 17 May 2016. During this inspection we found breaches of legal requirement and the provider was rated as requires improvement under the safe domain. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Parklands Surgery on our website at www.cqc.org.uk. The practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-
Ensuring that all significant events are fully recorded centrally at the practice to ensure a comprehensive audit trail is maintained.
Ensuring that clearly defined and embedded systems, processes and practices are in place to keep patients safe and safeguarded from abuse. Ensure that staff who are chaperones receive appropriate training.
Ensuring all staff receive safeguarding training appropriate to their role.
Ensuring that an assessment of cleanliness is regularly completed, and that cleaning undertaken is recorded and monitored, including that curtains and carpets are regularly cleaned. Ensure that actions from infection control audits are completed and recorded.
Ensuring the security and tracking of blank prescription forms at all times.
Ensuring that patients prescribed with high risk medicines are regularly monitored.
Ensuring that all Patient Specific Directions are recorded and completed correctly, in line with legislation.
Additionally we found that:
The practice needed to continue to:
Improve the pathways for the obtaining and dissemination of relevant and current evidence based guidance and standards, including National Institute for Health and Care Excellence (NICE) best practice guidelines.
Improve recording processes to ensure that the details of all care plans are retained by the practice to ensure care and treatment is monitored.
Ensure patients who are carers and who are cared for are pro-actively identified and supported.
This inspection was an announced focused inspection carried out on 2 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 17 May 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is rated as good.
Our key findings were as follows:
We found that the practice had a comprehensive database in place to track, monitor and audit all significant events and alerts.
Since our last inspection staff identified as chaperones had undertaken training in this area. Safeguarding training had been delivered to all staff at appropriate levels.
Evidence was seen to confirm that curtains and carpets were regularly cleaned.
We saw evidence that medicine management practices were comprehensive and kept patients safe.
Care plans were in place and any follow up reviews were clearly recorded within the patient’s records.
Systems were in place to monitor and identify carers and their support needs. The practice had identified 156 carers and increase of 13 since our last inspection which is approximately 1.7% of the patient list.
The practice had developed systems to make NICE guidelines and best practice information more accessible. The practice had links on their computers to access these guidelines and the clinical commissioning group (CCG) clinical guidance pages.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Parklands Surgery on 17 May 2016. During this inspection we found breaches of legal requirement and the provider was rated as requires improvement under the safe domain. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Parklands Surgery on our website at www.cqc.org.uk. The practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-
Ensuring that all significant events are fully recorded centrally at the practice to ensure a comprehensive audit trail is maintained.
Ensuring that clearly defined and embedded systems, processes and practices are in place to keep patients safe and safeguarded from abuse. Ensure that staff who are chaperones receive appropriate training.
Ensuring all staff receive safeguarding training appropriate to their role.
Ensuring that an assessment of cleanliness is regularly completed, and that cleaning undertaken is recorded and monitored, including that curtains and carpets are regularly cleaned. Ensure that actions from infection control audits are completed and recorded.
Ensuring the security and tracking of blank prescription forms at all times.
Ensuring that patients prescribed with high risk medicines are regularly monitored.
Ensuring that all Patient Specific Directions are recorded and completed correctly, in line with legislation.
Additionally we found that:
The practice needed to continue to:
Improve the pathways for the obtaining and dissemination of relevant and current evidence based guidance and standards, including National Institute for Health and Care Excellence (NICE) best practice guidelines.
Improve recording processes to ensure that the details of all care plans are retained by the practice to ensure care and treatment is monitored.
Ensure patients who are carers and who are cared for are pro-actively identified and supported.
This inspection was an announced focused inspection carried out on 2 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 17 May 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is rated as good.
Our key findings were as follows:
We found that the practice had a comprehensive database in place to track, monitor and audit all significant events and alerts.
Since our last inspection staff identified as chaperones had undertaken training in this area. Safeguarding training had been delivered to all staff at appropriate levels.
Evidence was seen to confirm that curtains and carpets were regularly cleaned.
We saw evidence that medicine management practices were comprehensive and kept patients safe.
Care plans were in place and any follow up reviews were clearly recorded within the patient’s records.
Systems were in place to monitor and identify carers and their support needs. The practice had identified 156 carers and increase of 13 since our last inspection which is approximately 1.7% of the patient list.
The practice had developed systems to make NICE guidelines and best practice information more accessible. The practice had links on their computers to access these guidelines and the clinical commissioning group (CCG) clinical guidance pages.
We carried out this inspection to look at the care and welfare provided to patients by the staff at Parklands Surgery. During our visit we spoke with three patients and six members of staff, which included one GP and the new practice manager. We also collected nine responses to a questionnaire we left in the waiting area.
Patients told us that staff always asked for consent before providing any care or treatment. We found that staff were knowledgeable about consent and what to do if a patient lacked capacity.
We found that patients received care and treatment that met their needs. Patients told us “They are very caring” and “They are always helpful.”
Patients told us that they felt safe in the hands of staff at Parklands Surgery. When asked, we found that staff were aware of the safeguarding procedures within the practice.
We saw that staff had received regular training and appraisal and staff told us they felt supported by the practice.
We saw that the practice had a complaints procedure and that this was made available to patients. When asked, all but one patient told us that they had not ever had a reason to complain.
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